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DEANGELO BROOKS
NPI 1114495603
Military Health Care Provider in Shreveport, LA

Active since November 02, 2018
1105 ISLAND PARK BLVD APT 1126, SHREVEPORT, LA 71105(318) 404-7134 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2020, Nov 2, 2018 (2 updates tracked since 2018).

About Deangelo Brooks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANGELO BROOKS (NPI 1114495603) is an individual military health care provider provider in Shreveport, Louisiana and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1114495603
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDEANGELO BROOKS
Location Address1105 ISLAND PARK BLVD APT 1126Shreveport, LA 71105-4783
Mailing Address5720 S Lakeshore Dr Apt 605Shreveport, LA 71119-3930 · (318) 404-7134
Phone(318) 404-7134
Sole ProprietorYes
Enumeration DateNovember 2, 2018
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1114495603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1105 ISLAND PARK BLVD APT 1126, Shreveport, LA 71105
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deangelo Brooks's NPI number?

The NPI number for Deangelo Brooks is 1114495603. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Deangelo Brooks located?

Deangelo Brooks practices at 1105 Island Park Blvd Apt 1126, Shreveport, LA 71105. The listed phone number is (318) 404-7134.

What is Deangelo Brooks's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Deangelo Brooks was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.